Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST INCOME. AMOUNT: 466. TOTAL TO FORM 990-EZ, LINE 14: 2,109. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: LODGE SENIOR SCHOLARSHIP. GRANTEE NAME: A. DIDOMENICO. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: MEMBER DONATIONS. GRANTEE NAME: RONALD MCDONALD HOUSE. AMOUNT GIVEN: 100. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: MEMBER DONATIONS. GRANTEE NAME: EPILEPSY FOUNDATION. AMOUNT GIVEN: 1,350. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: MEMBER DONATIONS. GRANTEE NAME: CH 3 KIDS CAMP DISCOVERY. AMOUNT GIVEN: 520. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: MEMBER DONATIONS. GRANTEE NAME: SMILE TRAIN. AMOUNT GIVEN: 100. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 2,570. |
| FORM 990-EZ, PART I, LINE 14 | DESCRIPTION: DEPRECIATION. AMOUNT: 609. DESCRIPTION: OTHER EXPENSES. AMOUNT: 1,500. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: MEMBER ACTIVITIES. AMOUNT: 1,278. DESCRIPTION: INSURANCE. AMOUNT: 2,501. DESCRIPTION: SUPPLIES. AMOUNT: 135. DESCRIPTION: PER CAPITA DUES. AMOUNT: 3,073. DESCRIPTION: BANK CHARGES. AMOUNT: 318. DESCRIPTION: OFFICE EXPENSE. AMOUNT: 616. DESCRIPTION: PROMOTION. AMOUNT: 29. DESCRIPTION: WEBSITE EXPENSE. AMOUNT: 779. TOTAL TO FORM 990-EZ, LINE 16: 8,729. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: SECURITY DEPOSITS. BEG. OF YEAR AMOUNT: 4,200. END OF YEAR AMOUNT: 4,200. DESCRIPTION: ORGANIZATIONAL COSTS. BEG. OF YEAR AMOUNT: 270. END OF YEAR AMOUNT: 270. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 471. END OF YEAR AMOUNT: 0. |
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